Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 10605 | Date 30/09/2023 |
| Token No | SM/22-23/12869 30/09/2023 | Serial | 004 |
| Patient Name | Miss SOUMITA DAS | Contact No | 6290978312 |
| Address | 48B/3 SADGOPE PARA | Age | 24 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||